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Minnesota rates for HCPCS 0625T

Automated quantification and characterization of coronary atherosclerotic plaque to assess severity of coronary disease, using data from coronary computed tomographic angiography; computerized analysis of data from coronary computed tomographic angiography

Insurance Carrier
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,514.91 / $2,298.44 / $4,030.12
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.35 / $420.00 / $1,140.77
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.20 / $65.06 / $5,749.92
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,291.79 / $2,483.66 / $3,144.55
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.20 / $62.70 / $113.11